Indlela yokuphila nokuzivocavoca okufanele ugweme
Uma une-lumbar stenosis yomgogodla, ungase ulinde futhi uthemba ukuthi uzohamba. Noma ungase usebenzise umzimba kodwa uzibuze ukuthi wenza okwanele noma uhlobo olufanele. Okokugcina, ungase uzibuze ukuthi ngabe ukuhlinzwa kufanele kucatshangelwe. Yini okufanele uyigweme noma uyeke ukwenza okwamanje?
Ukuphila Ne-Lumbar Stenosis Yamagciwane
Uma une-lumbar stenosis yomgogodla, udokotela wakho mhlawumbe wakhuluma ngezinto ongayenza ukuze uphathe ubuhlungu bomhlane wakho nomlenze futhi uthuthukise ikhono lakho lokuhamba.
Umhlinzeki wakho womzimba angakufundisa uhlelo lokuzivocavoca ukuthuthukisa uhla lwakho lomgogodla we-motion (ROM) namandla. Angakukhombisa nokuthi ungalungisa kanjani ukuhamba kwakho ukuze usize ukulawula izimpawu zakho. Kungenzeka ukuthi waqala ukwenza ezinye zezivivinyo ezivamile ze-lumbar stenosis .
Noma kunjalo, uma uhlala nenkinga yangemva, ukufunda okungafanele ukwenze ngokuvamile kubaluleke kakhulu njengokufunda okufanele ukwenze. Kunezinto okufanele uziyeke ukuzenza uma unempilo ebuhlungu , kodwa isisindo somgogodla we-spinal is a isimo esikhethekile. I-stinalosis yomgogodla yisimo sezokwelapha esinemithetho yaso yokulandela, kufaka phakathi izinto okufanele uyenze kanye nezinto okufanele uzigweme ukukhulisa amathuba akho wokuphatha okuphumelelayo.
Yini Okufanele Uyeke Ukuyenza Uma Unesifo Se-Lumbar Esinyameni?
Yini okufanele uyigweme uma une-stumosis yomgogodla? Ake sibheke ukuthi yini okufanele uyenze ukuyenza namhlanje.
Kubalulekile ukuthi ukhulume nodokotela wakho kanye nodokotela wezempilo ukuze ufunde indlela yokuphatha kahle isimo sakho esikhathini eside.
1. Misa ukulinda Izimpawu Zokuhamba
Uma wazi abanye abantu abanezinhlungu emuva, ungase ulinde futhi unethemba lokuthi izimpawu zakho zizophela. Kodwa i-stumosis ye-spinal stunosis ihamba ngokungafani nezinye izimbangela eziningi zokubuhlungu emuva.
I-Lumbar stenosis yomgogodla yinkinga eqhubekayo evame ukukhathazeka uma ungenzi lutho. Akusho nje ukuhamba.
Ukuthuthuka, noma kunjalo, akusho ukuthi akukho lutho ongakwenza. Ukuhlanganyela ohlelweni lokuzivocavoca ngokuvamile kusiza ekuthuthukiseni ukuhamba nokunciphisa ubuhlungu bomhlane nasemlenzeni. Ukusebenza ukuze uthuthukise amandla akho kanye nokuphakama kwakho kungakusiza ukuthi uhambe kangcono ngobuhlungu obuncane.
Njengazinye izimo zezokwelapha, ukuthatha indima ekhuthele ekunakekelweni kwakho kwe-spinal stenosis kungenye yezindlela ezingcono zokuphatha isimo sakho.
2. Stop Treating kuphela Ukuvuvukala
I-stenosis yomgogodla ibangelwa ukugxilwa komgogodla wakho womgogodla, futhi lokhu kunciphisa kungacasula imizwa ehamba emilenzeni yakho. Izimpawu zibi nakakhulu ngokuhamba futhi kungcono ngokuhlala phansi noma ukuhamba phambili. Uma izinzwa zakho zicasuliwe, zingase zishaye, futhi ukuthatha imithi elwa nokuvuvukala kungathuthukisa okwesikhashana isimo sakho. Kodwa ukuthembela kuphela emithini yokwelapha isisu sakho somgogodla kungaholela ekubukeleni kwezimpawu zakho nokuqhubeka kokunciphisa ukuhamba kwakho.
Ukuze uphathe kahle isimo sakho, kufanele ushintshe i-biomechanics yomgogodla wakho futhi uthuthukise indlela umgogodla ohamba ngayo. Lokhu kungafezwa ngokuzivocavoca kanye nokulungiswa kwe-postural.
3. Yeka Ukuzivocavoca Okukodwa
Ngokomlando, abantu abane-spen stenosis babekwe imizimba ye-flexion kuphela ebopha umgogodla phambili. Kungani? Ngenxa yokuthi lesi sikhundla sibangela ukwanda komkhawulo wakho wamagogasi omgogodla, futhi lokhu kucatshangwa ukuthi kuthatha ingcindezi emisipha yomgogodla.
Ngaphezu kokuzivocavoca umzimba, noma kunjalo, abantu abane-stumosis ye-lumbar stenosis bangase bazuze ngokuguqula emuva ngokuzivocavoca okubizwa ngokuthi okuqhubekayo okuqhubekayo okukhulunywa ngayo . Lo msebenzi ungahle ucindezele ngokumelene ne-discs yakho yomgogodla, ubahambise kude nomgogodla wakho womgogodla nemisipha ukuze ubanikeze igumbi elengeziwe. Xoxa nodokotela wakho womzimba mayelana nokuthi ukuzivivinya komgogodla kwenziwa kanjani nokuthi ngabe lokhu kungakuzuzisa yini.
4. Yeka Ukucabanga Ngokuhlinzwa
Lapho uthola ukutholwa, udokotela wakho kungenzeka ukuthi ukhulume nawe mayelana nezinketho zokunakekelwa kwesifo sokuguliswa kwesisu somgogodla . Ukuhlinzwa kokugaya okubizwa ngokuthi i-laminectomy lumbar kungasiza kwabanye abantu abane-spen stenosis. Kodwa izifundo manje zibonisa ukuthi ukwelashwa ngokomzimba kungaba nemiiphumela efanayo yesikhathi eside nokuhlinzwa uma kuqhathaniswa nokwelashwa kwesimo sokuguliswa kwesisu somzimba.
Yize imiphumela yezo zindlela ezimbili ingafana, izingozi ezihambisana nokuhlinzeka ngokuvamile zikhulu kunalezo ezihlangene ngenkathi zihlanganyela ohlelweni olusebenzayo lwezokwelapha. Eqinisweni, ukubuyekezwa kuka-2017 ku- International Journal of Surgery kwaphinde kwaqinisekisa ukuphumelela okulinganayo kokuhlinzwa kanye nezinqubo ezingezona zokuhlinza ezifana nokwelapha ngokomzimba kodwa zithole isilinganiso esiphezulu sokuxilonga kulabo abahlinzwa.
Ngokuqinisekile ukuhlinzwa kungadingeka kwabanye abantu abane-stumosis ye-lumbar stenosis, futhi uma isimo sifinyelela ngalesosikhathi izinzuzo zivame ukwedlula izingozi. Kodwa ngaphambi kokuthi ubuhlungu bomgogodla bufinyelele kulelo phuzu, uma kwenzeka, hamba ukhathazeka ngokuhlinzwa futhi uhlanganyele ohlelweni olusebenzayo ukuze uphathe isisu sakho somgogodla. Izinketho ezingaphezu kwamandla ezinjengezifo ze- epidural steroid noma ukuhlinzwa kungenziwa ngaleso sikhathi uma kudingeka.
Ngezansi kulokho okufanele ugweme nge-Styosis ye-Lumbar Spinal Stinal
Uma uhlala ne-stumosis ye-lumbar yomgogodla, yeka ukucabanga ukuthi kuzophela. I-stinalosis yomgogodla yisimo esiqhubekayo, kodwa izimpawu zingathuthukiswa ngokuzivocavoca okufanele. Kubalulekile ukwenza lezi zivivinyo hhayi nje ukusebenzisa imishanguzo elwa nokuvuvukala yedwa. Ukusebenzisa imishanguzo efanele futhi kubalulekile, futhi umhlinzeki wakho wezinto ezingokwenyama angakuqondisa ekuhambeni okuhamba kahle kanye nokuzivocavoca okuqhubekayo okumele kube khona okwezimpawu zakho kanye nezifo. Okokugcina, ngaphandle kokuthi ukhathele ukukhethwa kwakho kokwelapha ngokomzimba kungcono kakhulu ukubeka ukuhlinza emshini wokushisa emuva bese uphishekela izindlela zokuphilisa ezingokoqobo ezingenasisindo futhi ezilinganayo.
> Imithombo:
> Delitto, A., Piva, S., Moore, C. et al. Ukuhlinzwa Ngokumelene Ukwelashwa Okungavuthiwe Kwe-Lumbar Stenosis Yamagciwane. Ama-Annal of Medicine yangaphakathi . 2015. 162 (7): 465.
> Ma, X., Zhao, X., Ma, J. et al. Ukusebenza Kokuhlinza Ngokuhlinzekwa Ngokwelashwa Okuqaphileyo Kwe-Lumbar Spinal Stenosis: Ukubuyekezwa Kwesistimu kanye Nokuhlaziywa Kwezinguquko Zemizamo Elawulwa Ngalokhu. I-International Journal of Surgery . 2017. 44: 329-338.